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目的研究贲门癌患者围术期肠内营养的实施方法、效果。方法对209例贲门癌患者依据术后给予不同的营养支持方法随机分为两组,肠内营养组146例,术后施行早期肠内营养;静脉营养组63例,贲门癌术后给予全静脉营养支持;比较两组患者术后并发症发生情况,术后恢复情况,检测手术后理化指标。结果两组患者术后均未发生吻合口瘘。术后并发症发生率肠内营养组明显低于静脉营养组(P<0.01),而肠内营养组腹泻发生率高于静脉营养组(P<0.01),两组腹胀发生率差异无统计学意义(P>0.01)。术后肠鸣音恢复时间,肛门排气、排便时间和住院时间,肠内营养组较静脉营养组短(P<0.01)。术后白蛋白、球蛋白、总蛋白量肠内营养组高于静脉营养组(P<0.01),而血尿素氮、肌酐和中性粒细胞低于静脉营养组(P<0.01)。结论贲门癌患者围术期肠内营养是安全、有效、可行的,较静脉营养组有明显的优势。
Objective To study the method and effect of perioperative enteral nutrition in patients with cardiac cancer. Methods 209 cases of cardiac cancer patients were randomly divided into two groups according to different nutritional support methods after surgery. 146 cases of enteral nutrition group were treated with early enteral nutrition after operation; 63 cases were treated with intravenous nutrition and total veins were given after operation. Nutritional support; Comparison of postoperative complications, postoperative recovery, and physical and chemical indicators after surgery were compared between the two groups. Results No postoperative anastomotic leakage occurred in both groups. The incidence of postoperative complications in the enteral nutrition group was significantly lower than that in the intravenous nutrition group (P<0.01). The incidence of diarrhea in the enteral nutrition group was higher than that in the intravenous nutrition group (P<0.01). The difference in the incidence of abdominal distension between the two groups was not statistically significant. Significance (P>0.01). Postoperative bowel sound recovery time, anus exhaust, defecation time and hospital stay were shorter in the enteral nutrition group than in the intravenous nutrition group (P<0.01). Postoperative albumin, globulin, and total protein levels were higher in the enteral nutrition group than in the intravenous nutrition group (P<0.01), while blood urea nitrogen, creatinine, and neutrophils were lower in the intravenous nutrition group (P<0.01). Conclusion Perioperative enteral nutrition in patients with cardiac cancer is safe, effective and feasible. It has obvious advantages over intravenous nutrition.